Vinayaka Missions Medical College and Hospital

Kāraikāl, India

Vinayaka Missions Medical College and Hospital

Kāraikāl, India
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Pandiamunian J.,Vinayaka Missions Medical College And Hospital | Ishwarya T.,Leonard Hospital
Asian Journal of Pharmaceutical and Clinical Research | Year: 2017

Objective: This study was done to evaluate the knowledge of primary health-care workers about the newborn care components. Methods: The Institutional Ethics Committee approval was obtained, and a cross-sectional study was carried out among the primary health-care workers of Karaikal using a pretested questionnaire from January 2015 to March 2015. The questionnaire contained questions on various domains of newborn care components. The study participants were explained about the study. Verbal informed consent was obtained, and the questionnaire was introduced to 383 health-care workers. The answered questionnaires were collected and analyzed. Results: A total of 349 participants (192-government employees; 157-private employees) were willing to take part in the study. Most (54.7%) of the government participants were nurses and auxiliary nurse midwives (43.2%) whereas the private sector participants were predominantly (79%) nurses. The knowledge level about some of the newborn care components, namely, positioning and attachment, advice on discharge, time of follow-up checkup, bad child rearing practices, and danger signs of newborn were assessed to be predominantly inadequate among a majority of health workers of both sectors. 22.29% and 41.1% of the private health-care workers and government health-care workers respectively, were having an overall adequate knowledge (overall score >75%) on newborn care components. Knowledge of the government health workers was significantly better than private health-care staff (P < 0.001). Conclusion: Knowledge is found to be inadequate among health-care workers on some newborn care components which necessitate measures to improve. © 2017 The Authors.


Pandiamunian J.,Mahatma Gandhi Institute | Pandiamunian J.,Vinayaka Missions Medical College and Hospital | Somasundaram G.,Mahatma Gandhi Institute
International Journal of Pharmacy and Pharmaceutical Sciences | Year: 2014

Objective: This prospective observational study was conducted to assess the prescribing pattern of antimicrobial agents in the MICU of a tertiary care teaching hospital in Puducherry Union Territory and to suggest necessary modifications in prescribing drugs to achieve rational therapeutic practices. Methods: 100 consecutive inpatient records of patients admitted to the MICU during September to December, 2013 were studied. Results: Average number of AMAs per patient was found to be 1.13. Cephalosporins and Ceftriaxone were the most frequently prescribed Anti microbial group and agent respectively in the MICU. Organisms isolated in the culture and sensitivity tests were sensitive to Imipenem and Piperacillin + Tazobactam in common. No adverse drug reaction was observed for any AMA. Brand name of the drugs and parenteral route of administration were preferred by the physicians for prescribing the AMAs. Most AMA prescriptions were made without bacteriological culture and sensitivity testing evidences. Conclusion: There is a need for motivating the physicians to prescribe antimicrobial agents by generic names with supportive bacteriological evidences. Antibiogram need to be framed and followed.


PubMed | Vinayaka Missions Medical College and Hospital and Jawaharlal Institute of Postgraduate Medical Education & Research
Type: Journal Article | Journal: Journal of anaesthesiology, clinical pharmacology | Year: 2015

A successful peripheral nerve block not only involves a proper technique, but also a thorough knowledge and understanding of the physiology of nerve conduction and pharmacology of local anesthetics (LAs). This article focuses on what happens after the block. Pharmacodynamics of LAs, underlying mechanisms of clinically observable phenomena such as differential blockade, tachyphylaxis, C fiber resistance, tonic and phasic blockade and effect of volume and concentration of LAs. Judicious use of additives along with LAs in peripheral nerve blocks can prolong analgesia. An entirely new group of drugs-neurotoxins has shown potential as local anesthetics. Various methods are available now to prolong the duration of peripheral nerve blocks.


Govindasamy R.,Vinayaka Missions Medical College and Hospital | Kasirajan S.,Vinayaka Missions Medical College and Hospital | Meleppuram J.J.,Vinayaka Missions Medical College and Hospital | Thonikadavath F.,Vinayaka Missions Medical College and Hospital
Revista Brasileira de Ortopedia | Year: 2016

Objective: The aim of this study is to analyze the functional outcome following titanium elastic stable intra-medullary nailing (ESIN) for displaced mid-shaft clavicular fractures (DMCF). Methods: A retrospective study of 60 patients between March 2009 and March 2015 was conducted. Patients were selected based on the inclusion criteria. Six patients were lost during follow up. Out of the remaining 54 patients, there were 39 males and 15 females. The mean age was 30.6 years. The functional outcome was analyzed using the Constant score, rate of bone union, complication, and earliest time of return to work. Results: All fractures united well, with an average time of 7.5 weeks. Follow-up period ranged between 12 months and 18 months (average, 14 months). 24 out of 54 patients had closed nailing, while 30 had minimal open reduction. The average size of ESIN was 2. mm (range, 1.5-3. mm). The average Constant score was 97.8 (range, 95-99). There were no major complications, but minor complications occurred, viz. skin irritation in 15 patients, temporary paresthesia in five patients, and three patients who developed superficial infections. One case had implant migration and perforation at the lateral cortex, and one case had delayed union. There were few implant-related problems, as the authors used a standard protocol to remove it after radiological union. All patients returned to work within 10 weeks of the post-operative period. Conclusion: ESIN is a safe, minimally invasive, engenders rapid healing with good cosmesis, and provides an excellent functional outcome in terms of patient satisfaction, with fewer complications. © 2016 Sociedade Brasileira de Ortopedia e Traumatologia.


Divyashanthi C.M.,Vinayaka Missions Medical College And Hospital | Adithiyakumar S.,Vinayaka Missions Medical College And Hospital | Bharathi N.,Vinayaka Missions Medical College And Hospital
International Journal of Pharmacy and Pharmaceutical Sciences | Year: 2015

Objective: Many human illnesses are bacterial in origin which can be treated with appropriate antibiotics and selection of these is mostly based on culture and sensitivity. The problem of antimicrobial resistance has burgeoned throughout the world both in inpatients and outpatients. We must work together to preserve the power of antimicrobials so as to use these effectively in treating diseases. The aim of the study is to find out the prevalence of infection and sensitivity pattern among bacterial pathogens in a tertiary care hospital. Methods: This retrospective study was carried out in Vinayaka Missions Medical College and Hospital, Karaikal, Puducherry (U. T) to study the culture and sensitivity pattern of clinical isolates from blood, urine, sputum, wound, ear/throat swab for one year (June 2012- June 2013). The positive cultures and their antibiotic susceptibility testing were performed under the guidelines of Clinical and Laboratory Standard Institute (CLSI). The lab data from Microbiology department were utilized and filled in a proforma and analyzed. Results: Out of 788 samples, 296 were culture positive. Isolated bacteria were mostly Gram negative organisms (GNO) of which Klebsiella (41.55%) was commonly followed by Pseudomonas (15.20%), Escherichia coli(4.05%) and Proteus (3.71%). Among Gram positive organisms (GPO) Staphylococcus (35.47%) was common. Imipenem (100%), Gentamycin (90.20%), Amikacin (89.14%), were the antimicrobials most sensitive for GNO, while Ceftriaxone (100%), Cefotaxime(100%),Nitrofurantoin(96.15%) and Linezolid(92.13%) were most sensitive for GPO. Widespread resistance to Nalidixic acid (99%),Ampicillin (85.90%), Cefuroxime (75%) is seen in both groups, while Cefazolin(79.25%) and Norfloxacin(83%) was noted for GNO, resistance to Amoxicillin with clavulanic acid (81.66%) and Imipenem(55.55%) was noted for GPO. Conclusion: The technical abilities to detect novel, resistant mechanisms and to overcome the microbial resistance has to be improved. Antibiotic policies agreed among clinicians, microbiologists and pharmacologists will guide good prescribing, provide maximum coverage for treating infections and ensure antibiotic cycling. © 2015, International Journal of Pharmacy and Pharmaceutical Sciences. All rights reserved.


PubMed | Vinayaka Missions Medical College and Hospital and Guntur Medical College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2017

Although cancer remains a major health problem all over the world, its treatment is limited by affordability of patients in a developing country like India. Information generated from cost analysis studies will be helpful for both the doctors in choosing the correct medicine for their patients and also for policy makers in successfully utilizing the meager resources that are available.The aim of the present observational study was to analyse the price variations of anti-cancer drugs available in India.The cost of a particular anti-cancer drug being manufactured by different companies, in the same dose and dosage form, was obtained from latest issue of Current Index of Medical Specialties (CIMS) January-April, 2016. The difference between the maximum and minimum prices of various brands of the same drug was analysed and percentage variation in the prices was calculated. The results of the study were expressed as absolute numbers and percentages.Overall, the price of a total of 23 drugs belonging to 6 different categories available in 52 different formulations were analysed. Among alkylating agents, oxaliplatin (50mg; injection) showed the maximum price variation of 125.02%. In anti-metabolites, methotrexate (2.5mg; tablet) showed the maximum price variation of 75.30%. The maximum price variation among natural products was seen with paclitaxel (260 mg; injection) of 146.98%, among hormonal drugs, was seen with flutamide (250mg; tablet) of 714.24%, among targeted drugs was seen with imatinib mesylate (100mg; film coated tablet) of 5.56% and among supportive drugs, granisetron (1mg; tablet) showed the maximum price variation of 388.68%.The average percentage variations of different brands of the same anti-cancer drug in same dose and dosage form manufactured in India is very wide. The government and drug manufacturing companies must direct their efforts in reducing the cost of anti-cancer drugs and minimizing the economic burden on the patients.


Lanka P.,Vinayaka Missions Medical College and Hospital | Lanka L.R.,Vinayaka Missions Medical College and Hospital | Manivachagam D.,Annamalai University
Indian Journal of Dermatology | Year: 2015

Porokeratosis, a keratinization disorder, is probably a group of unrelated conditions with same distinctive histological appearance, featuring cornoid lamellae. A case of punctate porkeratosis in a 24 year old male patient is reported for its rarity.


Vadhanan P.,Vinayaka Missions Medical College and Hospital | Tripaty D.K.,Indira Gandhi Center for Atomic Research | Adinarayanan S.,Jawaharlal Institute of Postgraduate Medical Education & Research
Journal of Anaesthesiology Clinical Pharmacology | Year: 2015

A successful peripheral nerve block not only involves a proper technique, but also a thorough knowledge and understanding of the physiology of nerve conduction and pharmacology of local anesthetics (LAs). This article focuses on what happens after the block. Pharmacodynamics of LAs, underlying mechanisms of clinically observable phenomena such as differential blockade, tachyphylaxis, C fiber resistance, tonic and phasic blockade and effect of volume and concentration of LAs. Judicious use of additives along with LAs in peripheral nerve blocks can prolong analgesia. An entirely new group of drugs-neurotoxins has shown potential as local anesthetics. Various methods are available now to prolong the duration of peripheral nerve blocks.


Kolasani B.P.,Vinayaka Missions Medical College and Hospital | Sasidharan P.,Vinayaka Missions Medical College and Hospital | Kumar A.,Vinayaka Missions Medical College and Hospital
International Journal of Nutrition, Pharmacology, Neurological Diseases | Year: 2016

Background: The evidence that oxidative stress is involved in the pathogenesis of ALD and Vitamin E deficiency being well documented in patients of ALD, an antioxidant like Vitamin E could likely be beneficial in patients with ALD. Methods: This is a prospective, open labeled, randomized comparative study of eight weeks duration, involving a total of 30 adult patients diagnosed with ALD who were randomized into two groups of 15 each and were designated as group A who received standard treatment and group B who received vitamin E along with standard treatment. Biochemical parameters like Liver Function Tests, De Ritis Ratio, Hb and TLC; prognostic parameters like Child Pugh Score and Model for End-Stage Liver Disease score were recorded before and after the treatment period in each group and compared. Results: In group A, the change observed in total protein and child pugh score were significant (P < 0.05) whereas that seen in PT was highly significant (P < 0.001). In group B, the changes observed in total protein, A:G ratio, bilirubin, PT, MELD score, Hb and TLC were significant (P < 0.05) whereas those seen in albumin, PT-INR, Child Pugh Score were highly significant (P < 0.001). When the differences observed in various parameters in Group A were compared with those seen in Group B, the changes in albumin, globulin and A:G ratio observed in Group B were statistically significant compared to their respective changes observed in Group A. Conclusion: These findings suggest that Vitamin E given in adequate dose will be a useful addition for treating alcoholic liver disease, although larger studies involving more number of patients should be done. © 2016 International Journal of Nutrition, Pharmacology, Neurological Diseases | Published by Wolters Kluwer - Medknow.


PubMed | Vinayaka Missions Medical College and Hospital
Type: Journal Article | Journal: Indian journal of sexually transmitted diseases | Year: 2015

Inguinal and femoral buboes are defined as localized enlargement of lymph nodes in the groin that are painful, and may or may not be fluctuant. We report a case of 42-year-old female who presented with bilateral inguinal swelling of 6 months duration. After a complete evaluation, she was found to be a case of isolated inguinal tuberculous lymphadenitis. There was complete resolution with standard antituberculous therapy. Isolated inguinal tuberculous lymphadenitis though a rare entity in developed countries is not uncommon in developing nations. In this era of syndromic management of sexually transmitted diseases, which carries its own pros and cons, this case report emphasizes the need to look beyond the venereal causes and calls for thorough evaluation and management.

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